alexa Optimization of Peri-Operative Hdu Care for Elective Colorectal Patients
ISSN: 2167-0420

Journal of Womens Health Care
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Optimization of Peri-Operative Hdu Care for Elective Colorectal Patients

Siddique K*, Cheema MR, Bapat P andTitu L

Department of Colorectal Surgery, Wirral University Hospitals NHS Foundation Trust, Wirral, United Kingdom

Corresponding Author:
Khurram Siddique
Department of Colorectal Surgery
Wirral University Hospitals NHS Foundation Trust
Wirral, H.No: 5, Rockingham Gardens
Rotherham, S60 3BL, United Kingdom
Tel: 07533665258

Received Date: April 23, 2014; Accepted Date: August 23, 2014; Published Date: August 29, 2014

Citation: Siddique K, Cheema MR, Bapat P, Titu L (2014) Optimization of Peri- Operative Hdu Care for Elective Colorectal Patients. J Women’s Health Care 3:188. doi:10.4172/2167-0420.1000188

Copyright: © 2014 Siddique K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: Despite recent advances,high-risk patients undergoing elective colorectal surgery still have significant morbidity and mortality. For patients electively admitted to level II care, premature discharge can contribute to poor outcomes.

Objectives: The main objectives were to review the level II care provided to high-risk elective colorectal patients with regards to their timing of discharge from the HDU and rate of post-operative complications, re-admissions, total length of stay (LOS) and mortality.

Methods: All elective colorectal patients admitted to HDU during 2010 were included. Patients were divided into two groups with regards to their stay on HDU: Group1 ≤ 48 hrs and Group2 >48 hrs. Data regarding demographics, post-operative complications, LOS, re-admission to HDU and mortality were collected and analysed using SPSS version 14.

Results: Out of the total of 40 patients, 24 (60%) were females; the median age was 74 (IQR 45-92) years. Laparoscopic procedures were performed in 31 (77.5%) patients. There were 26 patients in Group 1 and 14 in Group 2. Post-operative complications were higher (72.2% Vs 27.8%, p-value=0.04), and the LOS was significantly longer amongst Group 1 patients [8 (IQR 4-41) Vs 6.5(IQR4-12) days, p-value 0.03). Four patients in Group 1 were readmitted to HDU compared to none in Group 2. No mortality was observed. 

Conclusion: Early discharge from the HDU is associated with significant risk of complications, HDU re-admission (10%) and prolonged LOS. Ensuring a minimum HDU stay of 48 hrs could reduce post-operative morbidity, thus optimizing HDU patient care.


Share This Page

Additional Info

Loading Please wait..
Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

1-702-714-7001Extn: 9037

Business & Management Journals


1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version